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Individual

JOHN A KUNNATHUSSERIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MAMTH

Contact information

Practice address
4525 LEMMON AVE, STE 200, DALLAS, TX 75219
(214) 526-4525
(214) 520-6468
Mailing address
225 SIMMONS DR, COPPELL, TX 75019
(972) 462-8246

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
7675
TX
106H00000X
Marriage & Family Therapist
Primary
2886
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
148198
VALUE OPTION NORTH STAR
TX
Enumeration date
09/13/2006
Last updated
09/11/2025
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